06D2075274 CLIA NUMBER - SAFEWAY PHARMACY #0137

Laboratory Demographics

  • CLIA Code: 06D2075274
  • Facility Name: SAFEWAY PHARMACY #0137
  • Facility Address: 12200 E MISSISSIPPI AVE
    AURORA, CO
    ZIP 80010
  • Facility Phone: 303 696-1923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OWEN PROCTOR
  • NPI Number: 1427094036
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075274
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0137
Street 12200 E MISSISSIPPI AVE
City AURORA
State CO
ZIP 80010
Phone 303 696-1923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director OWEN PROCTOR

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This page was last updated on: 9/29/2025